Individual
LYNNE J DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
24 COMMON ST, SUITE # 3, WRENTHAM, MA 02093-1399
(508) 384-1821
Mailing address
20 LYNDON RD, WRENTHAM, MA 02093-1155
(508) 384-0505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN196639
MA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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